| Caitlin Roth, CNP | |
|
121 Westfield Dr Ste 1, Archbold, OH 43502-1005 | |
| (419) 445-2015 | |
| (419) 445-8102 |
| Full Name | Caitlin Roth |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 121 Westfield Dr Ste 1, Archbold, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730595125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN.CNP.15806 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ohio Living Home Health Greater Toledo | Toledo, OH | Home health agency |
| Parkview Regional Medical Center | Fort wayne, IN | Hospital |
| Mercy St Vincent Medical Center | Toledo, OH | Hospital |
| Fulton County Health Center | Wauseon, OH | Hospital |
| Community Hospitals And Wellness Centers | Bryan, OH | Hospital |
| Kingston Care Center Of Sylvania | Sylvania, OH | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Community Health Associates, Inc. | 0941114250 | 76 |
| Kingston Care Partners, Llc | 1850589102 | 15 |
| Preferred Physician Services Of Ohio Llc | 7315328069 | 44 |
| Entity Name | Midwest Community Health Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619915170 PECOS PAC ID: 0941114250 Enrollment ID: O20031231000726 |
| Entity Name | Kingston Care Partners, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609185180 PECOS PAC ID: 1850589102 Enrollment ID: O20101230000649 |
| Entity Name | Preferred Physician Services Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538899638 PECOS PAC ID: 7315328069 Enrollment ID: O20220713001050 |
| Entity Name | Curana Health Of Ohio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760114961 PECOS PAC ID: 3375924301 Enrollment ID: O20220721001870 |
| Entity Name | Ch Specialty Services Oh Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326747734 PECOS PAC ID: 5799140984 Enrollment ID: O20230421001297 |
| Mailing Address | Practice Location Address |
|---|---|
| Caitlin Roth, CNP 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Caitlin Roth, CNP 121 Westfield Dr Ste 1, Archbold, OH 43502-1005 Ph: (419) 445-2015 |
Tamara Martin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Westfield Dr Ste 1, Archbold, OH 43502 Phone: 419-445-2015 Fax: 419-445-8102 | |
Denise Nofziger, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Westfield Dr Ste 1, Archbold, OH 43502 Phone: 419-445-2015 Fax: 419-445-8102 | |
Tamara Snyder, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Westfield Dr, Archbold, OH 43502 Phone: 419-445-2015 Fax: 419-446-3072 |